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Exception 2: There are some circumstances for which an order does not need to be signed.For example, orders for some clinical diagnostic tests are not required to be signed.We've reviewed previously many of the complaints doctors have about patients.
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Because of this, we are alerting you to the importance of these signature requirements and if changes are needed, we suggest you take immediate action.
Signature’s Requirements Medicare requires that services provided/ordered be authenticated by the author. The purpose of a rendering/treating/ordering practitioner’s signature in patients’ medical records, operative reports, orders, test findings, etc., is to demonstrate that services submitted to Medicare have been accurately and fully documented, reviewed and authenticated.
In cases where the relevant regulation, NCD, LCD and CMS manuals have specific signature requirements, those signature requirements take precedence.
EXCEPTION 4: CMS would permit use of a rubber stamp for signature in accordance with the Rehabilitation Act of 1973 in the case of an author with a physical disability that can provide proof to a CMS contractor of his/her inability to sign their signature due to their disability.
Signature Log: A signature log lists the typed or printed name of the author associated with initials or an illegible signature.
The signature log might be included on the actual page where the initials or illegible signature are used or might be a separate document.
By affixing the rubber stamp, the provider is certifying that they have reviewed the document.
Acceptable Signatures Acceptable methods of signing records/test orders and findings include: Note: Be aware that electronic and digital signatures are not the same as 'auto-authentication' or 'auto-signature' systems, some of which do not mandate or permit the provider to review an entry before signing.
In addition, many states have laws about the circumstances under which a doctor may terminate a patient relationship.Tags: Adult Dating, affair dating, sex dating